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Dr. Melissa Seely-Morgan , MD

Moderate Markup
Practice Location: Cartersville,Georgia 30120
National Provider Identifier (NPI): 1720035033
Procedural
Surgical Specialist
3.76x
Markup Level
6,253
Annual Services
Financial Protection Alert

Higher Out-of-Pocket Billing Risk

This practice submits charges that average 3.8 times customary allowable rates. If you have not met your annual health insurance deductible, or if this doctor is out-of-network with your health plan, you may face significant balance billing.

3 Steps to Protect Your Wallet:
  • Confirm network status: Call your insurer to confirm this specific physician and office address are in-network.
  • Request in-network labs: Before blood draws or biopsies, ask the nurse to send samples exclusively to an in-network commercial laboratory.
  • Ask for a written estimate: Under the No Surprises Act, you are legally entitled to a Good Faith Estimate if you are self-pay or out-of-network.
The Rushed Visit Index

Balanced Practice

Standard Pacing

Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.

How is appointment length calculated?

Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).

Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.

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Appointment Length & Visit Style

Clinical appointment coding analysis across standard patient evaluations

Consultation Classification
Specialist (Procedures only)

Dr. Seely-Morgan primarily performs clinical procedures, imaging, or laboratory services rather than routine timed office consultations.

What visit duration tells you:
•Thorough evaluations: Longer appointments mean more opportunity to ask questions, review medical histories, and explain treatment options.
•Complex medical care: Patients managing multiple chronic conditions or seeking second opinions often benefit from physicians with extended visit styles.
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Pricing Transparency & Fee Comparison

How this provider bills compared to standard insurance benchmarks

Pricing Markup Ratio
3.76x
National Specialty Average: 2.56x
Total Annual Charges Billed
$505,198
Gross billed amount on claims
Standard Benchmark Value
$134,401
Customary fee baseline
Practical Guide for Patients and Families:

Dr. Seely-Morgan bills moderately higher than baseline insurance benchmarks. If you are in-network, your co-pay or coinsurance will be determined by your plan's contracted rate. If paying out of pocket, request an upfront written fee estimate.

Verified Clinical Procedures & Surgical Focus

Official annual procedure volumes, customary fee comparisons, and clinical focus areas.

Clinical Procedure & CodeAnnual ServicesDoctor ChargePeer NormStandard Baselinevs. Peer Norm
HCPCS Q9967
1,550$0.00$1.00$0.001.0x
CPT 71045
1,282$32.00$37.00$8.470.86x
CPT 71046
321$37.00$60.35$10.150.61x
CPT 70450
280$146.00$198.00$38.460.74x
CPT 74177
274$312.84$447.44$84.030.7x
CPT 74018
245$32.00$40.00$8.490.8x
CPT 71250
202$186.00$254.00$49.620.73x
CPT 74176
192$299.00$387.00$80.420.77x
👨‍⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓

This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:

Evaluation & Management Mix

Estimated appointment time calculation: N/A. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.

Charge-to-Payment Ratio

Gross charge multiplier: 3.76x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.

Patient Guidance: What to Ask Before Your Appointment

  • In-Network Confirmation: Confirm directly with your insurance plan that Dr. Seely-Morgan participates in your specific network tier.
  • Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
  • Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.